Individual
DR. MATTHEW RAYMOND LILLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2200 NE NEFF RD STE 200, BEND, OR 97701-4281
(541) 382-3344
Mailing address
2200 NE NEFF RD STE 200, BEND, OR 97701-4281
(541) 382-3344
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
178069
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
122323
CALIFORNIA MEDICAL BOARD
CA
01
—
178069
OREGON MEDICAL BOARD
OR
05
—
500730702
—
OR
01
—
60659856
WASHINGTON MEDICAL BOARD
WA
Enumeration date
09/12/2012
Last updated
03/04/2025
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